Provider Demographics
NPI:1851783849
Name:HUNTSINGER, KERRY E (FNP)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:E
Last Name:HUNTSINGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:E
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1275 DICK LONAS RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1382
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:501 20TH ST STE 404
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1822
Practice Address - Country:US
Practice Address - Phone:865-584-4747
Practice Address - Fax:865-584-1363
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily